Peter D Deforest (NPI# 1811953151, PAC ID# 1951357367) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1811953151 |
| PAC ID by PECOS | 1951357367 |
| Professional Enrollment ID | I20050329001011 |
| Full Name | Peter D Deforest |
| Organization Legal Name | FAIRLAWN SURGERY CENTER LLC |
| Address |
2030 Stephenson Ave Sw Roanoke VA 24014-1664 |
| Phone Number | 5402832708 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1992 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1658404165 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 5402832708 | FAIRLAWN SURGERY CENTER LLC |
| Organization Legal Name | FAIRLAWN SURGERY CENTER LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph G Brabant | Certified Registered Nurse Anesthetist (crna) | Fairlawn Surgery Center LLC | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 |
| Street Address |
2030 STEPHENSON AVE SW |
| City | ROANOKE |
| State | VA |
| Zip | 24014-1664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph G Brabant | Certified Registered Nurse Anesthetist (crna) | Fairlawn Surgery Center LLC | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allyson Kay Scruggs | Nurse Practitioner | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| David Gregory | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Kimberly A Dulaney | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Anthony R Stavola | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Braden Asher Gregory | Family Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Jon M Sweet | Internal Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| John C Perkins | Emergency Medicine | Carilion Medical Center | 2145 Mt Pleasant Blvd, Roanoke, VA 24014 |
| Mitali Bapna | Diagnostic Radiology | Image Guided Pain Management, P.C. | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 |
| Robert George Zeller | Diagnostic Radiology | Image Guided Pain Management, P.C. | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 |
| Robert F Obrien | Diagnostic Radiology | Image Guided Pain Management, P.C. | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 |
| Find all physicians in zip 24014 | |||
| City | ROANOKE |
| Zip Code | 24014 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | ROANOKE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.